STATE OF SOUTH CAROLINA
1350
1350
L-2108
DEPARTMENT OF REVENUE
(Rev. 8/10/11)
OCCASIONAL IMPORTER SCHEDULE OF RECEIPTS
4196
Importer Name
License Number
FEIN
Month/Year
PRODUCT TYPE (CIRCLE ONE AND ENTER % WHEN APPLICABLE)
SCHEDULE TYPE (CIRCLE ONE)
65
Gasoline
142
Kerosene
D00 Dyed Biodiesel (100%)
122
Blend Components
072
Dyed Kerosene
B01-B99 Undyed Biodiesel Blend
1-A
Gallons Received User Fee Paid
E00
Fuel Grade Ethanol (100%)
167
Low Sulfur Undyed Diesel
(%
)
1-C
Gallons Received User Fee Paid
E01-E99
Gasohol (%
)
226
High Sulfur Dyed Diesel
D01-D99 Dyed Biodiesel Blend
on Voucher
125
Aviation Gasoline
227
Low Sulfur Dyed Diesel Fuel
(%
)
3-A
Gallons Imported User Fee Free By
130
Jet Fuel
B00
Undyed Biodiesel (100%)
092 Other/Substitute Fuel
Tankwagon From
(
)
4
1
2
3
5
6
7
8
9
10
11
Point Of
Carrier
Carrier
Terminal
Supplier
Supplier
Date
Document
Billed
Import
Name
FEIN
Mode
Code
Name
FEIN
Shipped
Number
Gallons
Verification No
Origin
Dest